Administration volume and technique are critical to achieving optimal results
The videos below include a variety of surgical procedures that demonstrate examples of how to administer EXPAREL for optimal pain control and coverage.
Surgical Site Infiltration in C-SectionPerformed by: Dr Cherot
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This video represents an individual clinician experience with and methodology for using EXPAREL.
Pacira BioSciences, Inc., recognizes that there are other methodologies for administering local anesthetics, as well as individual patient considerations, when selecting the dose for a specific procedure.
Surgical Site Infiltration in C-Section Performed by: Dr Cherot
TAP Block in Open Hysterectomy Performed by: Dr Hutchins
Surgical Site Infiltration in Open Myomectomy Performed by: Dr McCarus
Cost and value
Multimodal approaches with or without ERAS protocols have demonstrated benefits in obstetric and gynecologic procedures
- Reduced opioid use and risk of ORAEs1-5
- Fewer postsurgical complications3
- Higher patient satisfaction2,3
- Earlier mobility1,6
- Shorter hospital LOS3,4
- Reduced healthcare costs4
Clinical data support the use of EXPAREL
Journal of Pain Research
Transversus abdominis plane block with liposomal bupivacaine for pain control after cesarean delivery
Anesthesia & Analgesia
Transversus abdominis plane block with liposomal bupivacaine for pain after cesarean delivery in a multicenter, randomized, double-blind, controlled trial
Nursing for Women's Health
Improving pain management after cesarean birth using transversus abdominis plane block with liposomal bupivacaine as part of a multimodal regimen
Journal of Clinical Anesthesia
Randomized trial of transversus abdominis plane block with liposomal bupivacaine after cesarean delivery with or without intrathecal morphine
Leading medical societies recommend opioid-minimizing pain management strategies to enhance recovery after obstetric and gynecologic procedures
- A stepwise, multimodal pain management strategy, including local anesthetics delivered by wound infiltration or TAP block, is recommended to control pain and minimize opioid administration
- Postoperative minimization of opioid use reduces nausea and vomiting, impairment of bowel function, delayed mobilization, and pulmonary morbidity
- Multimodal analgesia, including wound infiltration or regional blocks (eg, TAP block), should be used to reduce pain, improve mobilization, reduce opioid use in the hospital after discharge, and decrease opioid side effects
- Advocate for the goal of reducing opioid misuse, and optimizing availability and use of non-opioid methods of pain control
- Avoiding opioid use within a multimodal postoperative analgesia pathway, with greater emphasis on non-opioid medications such as liposomal bupivacaine, can improve patient experience and functional recovery after surgery
ACOG, American College of Obstetrics and Gynecologists; ERAS, enhaced recovery after surgery; LOS, length of stay; SGO, Society of Gynecologic Oncology; SOAP, Society for Obstetric Anesthesia and Perinatology; ORAE, opioid-related adverse events; TAP, transversus abdominis plane.